The Regen Doc Podcast

Aneesh Garg, DO, CAQ | Physician | Regenerative Sports Medicine Expert
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The Regen Doc podcast with Dr. Aneesh Garg explores non-surgical regenerative medicine for athletes and active individuals. Discover how PRP, stem cell therapy, shockwave, EXOMIND, and EMSELLA can help you avoid surgery, heal at the cellular level, and get back to peak performance. Perfect for runners, climbers, cyclists, and weekend warriors seeking precision care.

  1. 5d ago

    #29: Inflammation Is Not the Enemy — Dr. Aneesh Garg, DO, CAQ on Why You Should Stop Icing

    We have spent decades telling you inflammation is the enemy. Ice it. Take ibuprofen. Get a steroid shot. Kill the inflammation. Dr. Aneesh Garg, DO, CAQ says that approach is sabotaging your body's ability to heal itself. Inflammation is the first step in healing. When you suppress it completely, you are telling your body to stop trying to fix the problem. In this episode he breaks down the critical difference between good inflammation and bad inflammation, why taking ibuprofen every day is actively slowing your recovery, and what to do instead to guide your body toward healing rather than fight it. Chapters: 00:00 Inflammation: your body's best friend that medicine keeps shutting down00:49 I take ibuprofen every day for joint pain. Is that actually a problem?00:54 Yes. Taking anti-inflammatories every day is doing your body a disservice.01:18 Good inflammation vs. bad inflammation: understanding the difference01:59 The fire alarm analogy: silencing inflammation does not put out the fire02:22 If ibuprofen was the solution, it would have already fixed the problem02:42 Gut stress, kidney stress, and cardiovascular risk from long term NSAID use03:43 But inflammation causes damage, right? Shouldn't I reduce it?03:48 Acute inflammation is a healing response. Chronic unresolved inflammation is the enemy.04:00 Synovial fluid and why increasing fluid in the joint is not the goal04:50 The answer is not to kill inflammation. It is to guide it.05:19 Regenerative medicine is pro-inflammatory, not anti-inflammatory06:54 If I should not suppress inflammation, what should I do instead?06:59 Band work over icing: how baseball changed its cool-down protocols07:32 Get the bad inflammation out. Bring the good inflammation in.08:05 How focused shockwave drives blood flow and targets injured tissue08:24 How radial pressure waves help move fluid out08:47 The EMTT science: how cell wall polarity affects healing and why EMTT recalibrates it10:04 What happens when someone stops relying on anti-inflammatories?10:10 We need to see what is actually going on. Get off the medication.10:36 If you are getting shockwave and taking anti-inflammatories, you are wasting your money11:41 Case study: chronic knee arthritis patient off ibuprofen, on EMTT, shockwave, and PRP, knee felt better than it had in years12:42 What should people know about inflammation and healing?12:42 Inflammation is not bad. Unresolved chronic inflammation is the enemy.13:13 Your body's healing mechanism is fantastic. Regenerative medicine amplifies it. Anti-inflammatories sabotage it.14:30 Tylenol vs. ibuprofen: why Tylenol is neutral and does not block the healing response14:57 Acute inflammation is the body's primary healing response. Stop delaying it. Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  2. Oct 20

    #28: You Haven't Lost Your Edge — Dr. Aneesh Garg, DO, CAQ on the 40+ Performance Gap

    You used to be fast. You used to bounce back. Now you are slower, stiffer, and sore for two days after a workout that would not have phased you five years ago. And everyone keeps telling you the same thing: you are just getting older. Dr. Aneesh Garg, DO, CAQ pushes back on that. In this episode he explains why declining performance after 40 is not primarily an age problem, it is an optimization problem. The mental side of performance is almost always ignored, and addressing it through the Dynamic Mind Plus protocol using Exomind TMS may be the biggest competitive advantage most athletes have never considered. Chapters: 00:00 The athlete who thinks they have lost their edge00:53 I am 45 and feel like I have lost a step. Is that just aging?01:01 People blame aging too quickly. Many athletes peak in their 40s.01:23 Neural regulation and tissue quality are being ignored in the 35 to 55 age group01:55 What if you could train with less stress and less mental interference?02:43 Dynamic Mind Plus and Exomind: targeting the part of the brain that drives stress, anxiety, and nervous system activation03:39 Should I just accept that I cannot perform like I used to?03:43 No. That is one of the laziest diagnoses in medicine.04:27 Age affects your ceiling to a certain extent but not your capacity05:20 The weight of the world keeps getting heavier and nobody does anything about it05:52 Sleep quality, stress load, and nervous system regulation are performance variables with nothing to do with age07:20 What can I actually do to get back to performing closer to my potential?07:24 The dorsolateral prefrontal cortex: the area TMS targets and why it matters08:17 Strengthening neural connections: doom scrolling, weakened pathways, and how to reverse it09:07 Two-lane highway with traffic vs. ten-lane freeway: what optimized neural function feels like09:44 You are not at your ceiling. You are below your capacity.10:42 Have you actually helped someone get back to their old level?10:46 Professional cyclist: all the mental interference that blocked her training just melted away11:48 Professional hockey player: more clarity on the ice, stopped worrying about things that did not matter in that moment12:22 Patient going through divorce, job change, and weight gain: "This has changed my life"13:16 What would you tell every 40 plus athlete who feels like they are declining?13:21 You are not declining. You are under-optimized.13:53 The best years of your athletic life might still be ahead of you Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  3. Oct 13

    #27: Stop Price Shopping Your Health — Dr. Aneesh Garg, DO, CAQ on Why Cheap PRP Costs More

    Regenerative medicine is not covered by insurance and you want the best deal. Dr. Aneesh Garg, DO, CAQ understands that. But when you price shop PRP, stem cells, or shockwave, you are not comparing the same product. You are comparing a Michelin star meal to a gas station hot dog and both are calling themselves dinner. In this episode he breaks down why PRP is PRP is one of the most dangerous myths in regenerative medicine, what questions to ask before booking any regenerative treatment, and why patients who go the cheap route almost always end up paying twice. Chapters: 00:00 What happens when you price shop your health00:47 Why is PRP $500 at one clinic and $2,000 at another? Is it the same thing?00:53 Absolutely not: blood volume, spin count, concentration, kit quality, technique, and image guidance all vary01:56 Price shopping vs. outcome shopping: two completely different decisions03:16 The steak analogy: a diner steak and a steakhouse steak are both steak04:56 "PRP is PRP" is one of the most dangerous myths in regenerative medicine05:21 Platelet concentration matters: the 10 billion platelet rule for orthopedic injuries06:05 Blind injections without ultrasound: the audacity of saying "I know where I'm going"07:59 How do I evaluate a regenerative medicine clinic before I book?08:01 What to ask: blood volume, spin count, X multiple, ultrasound guidance, post-procedure protocol08:45 Fellowship training and doing this all day every day vs. offering it as a side service09:08 The mechanic analogy: someone who focuses on cars vs. someone who also does scooters, bikes, and helicopters10:25 Have you treated someone who got bad PRP somewhere else?10:30 Yes: hip PRP done with one vial of blood, spun once, injected blind, no result11:25 Low quality PRP research papers are why people think PRP does not work12:30 Before you agree to surgery, audit the PRP you already got: was it actually high quality?13:24 What questions should I ask before booking any regenerative treatment?15:20 If the cheapest option was always the best option, everyone would hire the cheapest surgeon15:41 Even great PRP fails if the diagnosis is wrong16:54 The NASCAR pit crew approach: the whole team takes care of one person Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  4. Oct 6

    #26: "Wait and See" Is Not a Plan — Dr. Aneesh Garg, DO, CAQ on Why Waiting Costs You More

    Wait and see. Three words that have cost patients more time, more function, and more quality of life than almost any other phrase in medicine. Dr. Aneesh Garg, DO, CAQ says when tissue is degenerating, every month you wait is a month you cannot get back. In this episode he breaks down why waiting is actively harmful for degenerative conditions, what happens to patients who wait too long, and why his alternative to wait and see is evaluate and decide. Including the story of a 58-year-old whose cartilage went from moderate to severe damage while waiting to be bad enough for a knee replacement. Chapters: 00:00 Why "wait and see" is one of the most harmful phrases in medicine00:42 My doctor told me to wait six months and see if it gets better. Is that a real plan?00:47 No. Walk out of that office right now.01:28 Rest is almost never the right answer unless something is broken02:26 Self-limiting vs. degenerative conditions: why the difference changes everything03:41 But what if it does get better on its own?03:46 When tissue is degrading, time is not helping you05:13 Opportunity cost: you stop playing tennis, lifting your grandkids, doing what matters06:01 Waiting makes the treatment more expensive later07:01 When should I push back on wait and see?07:04 Always. And here is why.07:18 Good inflammation vs. bad inflammation: why icing and NSAIDs delay healing08:18 Anti-inflammatory treatments mask symptoms instead of targeting the diagnosis09:10 Treating early means more healthy tissue to work with09:44 What happens to patients who wait too long?09:48 Case study: 58-year-old with knee arthritis told to wait for replacement10:59 His cartilage went from moderate to severe while waiting; PRP window closed11:26 Steroid injections fast-track you to surgery: please stop getting them12:27 Waiting for one thing to hurt often means something else starts hurting too14:20 What is your alternative to wait and see?14:24 Evaluate and decide: what is it, how did you get it, what are we going to do about it15:05 Calf tear case study: three to six week injury, back playing in nine days16:00 The difference between losing time and buying back time17:31 Replace wait and see with evaluate and decide Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  5. Sep 29

    #25: PRP and Shockwave Together — Dr. Aneesh Garg, DO, CAQ on Why the Combination Works Better

    Most clinics offer PRP or shockwave. Dr. Aneesh Garg, DO, CAQ says the real results come from using both together. Shockwave prepares the tissue environment so biologics like PRP and stem cells can work harder. Think of it like prepping the soil before planting seeds. In this episode he breaks down exactly how focused shockwave, EMTT, and PRP work together at the cellular level, what conditions respond best to the combination, and the story of a 50-year-old with 12 months of failed PT and a steroid-damaged Achilles tendon who was pain-free in six weeks once the right protocol was used. Chapters: 00:00 PRP and shockwave: why the combination changes everything00:52 My doctor offered me PRP or shockwave. Why would I need both?01:04 The soil analogy: prepping the environment before planting the seeds02:32 EMTT puts cells in a better state to absorb focused shockwave energy03:09 Isn't shockwave just pain management like a TENS unit?03:14 No: focused shockwave works at the cell level, not the skin level04:06 How focused shockwave increases blood flow, breaks down calcifications, and recruits healthy cells04:51 Be careful: Amazon shockwave devices and unfocused waves are not real shockwave06:29 What conditions respond best to the shockwave plus PRP combination?06:35 Achilles, patellar tendon, rotator cuff, tennis elbow, golfer's elbow, plantar fasciitis, arthritis07:53 Arthritis: targeting the subchondral bone to reduce pain from underneath09:49 What does the combination protocol actually look like in practice?09:53 Acute vs. chronic: three to six shockwave sessions before the injection10:27 Case study: 50-year-old with 12 months of failed PT and a steroid-damaged Achilles, pain-free in six weeks12:22 Why don't more clinics offer the combination?12:28 Equipment cost, training, and getting the diagnosis right first13:47 Why Dynamic Athlete started the American Shockwave Training Institute14:42 The big takeaway: shockwave works on the soil, PRP and stem cells are the seeds Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  6. Sep 22

    #24: The Science Behind PRP Outcomes — Dr. Aneesh Garg, DO, CAQ and AJ Patton of BTI

    Two patients get PRP in the same knee on the same day in the same city. One is back on the trail in six weeks. The other in six months. The difference has almost nothing to do with luck. Dr. Aneesh Garg, DO, CAQ sits down with AJ Patton of Biotechnology Institute of Spain and their regenerative platform Endoret PRGF. AJ has 15 years in regenerative medicine and BTI has been pioneering research for over 30 years. Together they break down what is in the syringe, why PRP studies contradict each other, and what actually separates a great outcome from a disappointing one. Chapters: 00:00 Two patients, same knee, same day. One back in six weeks, one in six months. Why?01:09 AJ Patton introduction: 15 years in regenerative medicine, BTI and Endoret PRGF03:18 What AJ believed about PRP when he started that he no longer believes04:25 The biggest misconception doctors have about PRP08:22 When blood is drawn and spun, what components actually matter?10:25 Red blood cells, leukocytes, and platelets: what you want and what you do not12:05 Platelets: the vessels that carry growth factors to the injury site12:25 Activated vs. non-activated PRP: meta-analysis of 14 studies, 1,300 patients15:39 EMTT and shockwave to prep the tissue before injection16:49 Why two PRP studies can reach completely opposite conclusions21:19 Leukocyte-free and fully activated: 8 to 10 day time-release growth factor delivery23:24 Landmark guidance hits the mark only 25% of the time25:48 The acupuncturist doing PRP: why training and experience matter28:46 Are you in the outcomes business or the revenue business?35:54 Ask the clinic: tell me a time you said no, this is not going to work43:57 AJ's personal case: meniscus tear healed with PRP instead of surgery46:42 Where is regenerative medicine going in the next five years?49:02 Why shockwave and PRP together outperform either alone54:32 Intraosseous injections for knee arthritis and intraneural injections for nerve damage57:55 The label does not tell you what you are getting. The protocol does. Links: Dynamic Athlete Homepage: https://dynamicathlete.com/ Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/ PRP Therapy: https://dynamicathlete.com/prp-therapy/ Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/ Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/ Exomind: https://dynamicathlete.com/exomind/ Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ BTI Biotechnology Institute: https://www.bti-biotechnologyinstitute.com/en/ Endoret PRGF: https://bti-biotechnologyinstitute.com/en/solutions/regenerative-medicine/why-endoret-prgf A.J. Patton Regenerative Therapies US Sales Director BTI of America  1951 NW 7th Ave Miami, FL 33136 M: 970-215-5209 andrew.patton@btihealth.us BTI Endoret PRGF Traumatology/Ortho/Sports Med Website Activated vs Non-activated study Paper outlining the variables with PRP formulations Anticoagulants - ACDA vs Sodium Citrate Ultrasound Guided Injections vs Landmark The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  7. Sep 15

    #23: PRP vs. Stem Cells — Dr. Aneesh Garg, DO, CAQ on Which One You Actually Need

    Every patient asks the same question: should I get PRP or stem cells? Dr. Aneesh Garg, DO, CAQ's honest answer is that it depends — and anyone telling you to always do one over the other isn't getting to the heart of the problem. In this episode he breaks down exactly where each treatment comes from, why stem cells are more potent but not always necessary, how he decides which one to recommend, and what to ask during a consultation to make sure you're getting the right treatment for your specific injury — not just the most expensive one. Chapters: 00:00 PRP vs. stem cells — which one do you actually need?00:45 What's the actual difference between PRP and stem cells?00:50 PRP comes from peripheral blood — stem cells from bone marrow or adipose fat02:50 Stem cells are more potent than PRP — but that's not the only consideration04:02 Autologous only: why Dr. Garg only uses stem cells from your own body04:46 Stem cells are more expensive — does that mean they're always better?05:29 Stem cells are generally for bigger injuries — when PRP is the smarter call06:57 When Dr. Garg does stem cells, he always combines them with PRP08:04 How do you decide which treatment to recommend?08:08 Tissue imaging, tear size, goals, timeline, severity — what actually drives the decision09:26 Why Dynamic Athlete's success rate is over 90% — EMTT, shockwave, and biologics combined11:25 PRP was the right call: tennis elbow case — stem cells would have been overkill13:10 Stem cells were the right call: bone on bone knee arthritis — back hiking steep terrain14:34 Earlier arthritis case: PRP and hyaluronic acid — could get two years of relief15:36 What should I ask during a consultation to make sure I'm getting the right one?15:41 Ask why we're doing this treatment and not the other one16:00 If nobody goes over your imaging with you — walk out16:55 Olympic athlete with 10 days — college gymnast with 10 weeks — how timeline changes the plan19:46 Ask who is actually doing the injection and what their experience is Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  8. Sep 8

    #22: Why Women's Sports Injuries Get Dismissed — Dr. Aneesh Garg, DO, CAQ on the Gender Gap

    If you're a woman with a sports injury or chronic pain, you've been statistically undertreated, underdiagnosed, and told to live with things that are absolutely fixable. Dr. Aneesh Garg, DO, CAQ breaks down why the gender gap in sports medicine is real and documented, why most research and treatment protocols were built for male bodies, and what women should actually be asking for when they walk into a clinic. In this episode he shares the story of a 38-year-old runner dismissed by two providers — MRI read as normal — who had early cartilage damage the whole time and was back running pain-free in 6 to 12 weeks once the right diagnosis was made. Chapters: 00:00 Why women's sports injuries get dismissed — and what to do about it00:51 I feel like my doctor doesn't take my pain seriously — is that common?01:01 Women wait longer for diagnosis and receive fewer specialist referrals — it's documented01:44 Most of sports medicine was built for male bodies02:49 Are women actually more prone to injury or just undertreated?02:54 Both — higher ACL tear rates, hormonal influences, tissue laxity, and then dismissal on top04:52 Postpartum, perimenopausal, menopausal — why these stages matter for injury and recovery06:05 What should a woman with chronic pain actually ask for?06:10 What is my actual diagnosis, what caused it, and what are we going to do about it?07:53 Bursitis is a symptom, not a diagnosis — ask what's causing it09:06 Finding someone who actually takes care of female athletes — why it matters10:29 What Dr. Garg sees with female patients that's different10:33 Case study: 38-year-old runner dismissed by two providers — MRI read as normal11:00 How Dr. Garg found early cartilage damage on a "normal" MRI by reviewing it with her in the room11:49 EMTT, focused shockwave, PRP, hyaluronic acid, gait analysis, Dynamic Core Plus — back running in 6 to 12 weeks13:49 Her frustration wasn't just about pain — it was about not being heard14:29 What's Dr. Garg's message to women dealing with chronic pain?14:34 Your pain is real — "nothing is wrong" is an exclusionary diagnosis, not a starting point16:41 The gender gap in sports medicine is real, documented, and requires specific evaluation Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

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About

The Regen Doc podcast with Dr. Aneesh Garg explores non-surgical regenerative medicine for athletes and active individuals. Discover how PRP, stem cell therapy, shockwave, EXOMIND, and EMSELLA can help you avoid surgery, heal at the cellular level, and get back to peak performance. Perfect for runners, climbers, cyclists, and weekend warriors seeking precision care.

Information

  • Creator
    Aneesh Garg, DO, CAQ | Physician | Regenerative Sports Medicine Expert
  • Years Active
    2026
  • Episodes
    29
  • Rating
    Clean
  • Copyright
    © Aneesh Garg, DO, CAQ | Physician | Regenerative Sports Medicine Expert
  • Show Website
    The Regen Doc Podcast

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